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Wednesday, Aug 31 2016

Full Issue

Pennsylvania, Maryland Pick Private Companies To Run Select Programs For Medicaid

The Pennsylvania contractors will manage long-term care for 420,000 low-income seniors and disabled enrollees, while in Maryland the companies are implementing a diabetes prevention program. Also in the news, a UnitedHealthcare official acknowledges that the company has lost money in its work helping run Iowa's Medicaid managed care program.

Pennsylvania officials on Tuesday named three companies to manage long-term care for 420,000 low-income Pennsylvanians in a massive overhaul of how nursing home stays, home care, and other supports for the elderly and the physically disabled older than 21 are paid for. The winners of statewide Medicaid contracts聽 were AmeriHealth Caritas, a subsidiary of Independence Blue Cross; a unit of Centene Corp; and UPMC for You, which is owned by the University of Pittsburgh Medical Center. Fourteen insurers, including Health Partner's Plans, of Philadelphia, put in bids. (Brubaker, 8/30)

The state health department has chosen four companies to help implement diabetes prevention programs for Medicaid patients as part of a two-year pilot set up by the federal government. Amerigroup, Jai Medical Systems, MedStar Family Choice and Priority Partners have been chosen by the Department of Health and Mental Hygiene to oversee the programs. The companies are four of eight managed care organizations that administer Medicaid coverage for low-income people in the state. (McDaniels, 8/31)

A representative for one of the insurance companies overseeing Iowa's newly privatized Medicaid program said Monday the company has lost money during the system's implementation, but declined to say exactly how much. Kim Foltz, CEO for UnitedHealthcare's Iowa operations, cited information in a new quarterly report in telling a legislative oversight committee at the Iowa Capitol that the company has lost money. The confirmation means all three insurance companies that run Iowa's health care program for more than 500,000 poor and disabled residents have lost money in the initial months of implementation. (8/30)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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